妊娠期糖尿病诱发妊娠期高血压的临床观察

Clinical observation of pregnancy induced hypertension caused by gestational diabetes mellitus

目的:分析妊娠期糖尿病(GDM)诱发妊娠期高血压(PIH)的主要临床特征及相关治疗。方法:收治妊娠期糖尿病合并高血压患者76例,随机分为对照组和观察组各38例。对照组采用常规治疗加硫酸镁和降压药物,观察组采用胰岛素加硫酸镁和降压药物,比较两组的治疗效果。结果:观察组血糖和血压控制情况明显优于对照组,视网膜病变、子痫抽搐、转氨酶升高发生率显著低于对照组(P<0.05)。结论:妊娠期糖尿病诱发妊娠期高血压对母婴安全均产生严重危害,早期诊断和治疗对降低并发症具有重要意义。

Objective:To analyze the main clinical features and related treatment of pregnancy induced hypertension(PIH) causedby gestational diabetes mellitus(GDM).Methods:76 patients with pregnancy induced hypertension caused by gestational diabetesmellitus were selected.They were randomly divided into the control group and the observation group with 38 cases in each.Thecontrol group was treated with routine treatment plus magnesium sulfate and antihypertensive drugs.The observation group wastreated with insulin plus magnesium sulfate and antihypertensive drugs.We compared the treatment effect of the two groups.Results:In the observation group,the blood sugar and blood pressure control were significantly better than those of the controlgroup,retinal disease,eclampsia,and the increase in the level of aminotransferase were significantly lower than those in the controlgroup(P<0.05).Conclusion:The pregnancy induced hypertension caused by gestational diabetes mellitus had serious harm tomaternal and child safety.Early diagnosis and treatment was of great significance to reduce the complications.